Individual provider Active NPI

James Merritt, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Northbrook, IL
National Provider Identifier
1265131213
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209036494 Issued in IL
Practice address
899 Skokie Blvd Ste 300
Northbrook, IL 60062-4023
Phone
(224) 202-6260
NPI assigned
Feb 28, 2023
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209036494 IL Primary

Addresses

Primary practice location

899 Skokie Blvd Ste 300
Northbrook, IL 60062-4023

Mailing address

1850 Sawgrass St
Vernon Hills, IL 60061-4576
Phone (773) 910-2281

Other practice location 1

1462 Fargo Blvd
Geneva, IL 60134-2979
Phone (224) 242-0672

Other practice location 2

1580 S Milwaukee Ave Ste 420
Libertyville, IL 60048-3775
Phone (847) 558-1388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
209036494ILMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1265131213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SAWGRASS ST",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600614576",
            "telephone_number": "773-910-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 SKOKIE BLVD STE 300",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624023",
            "telephone_number": "224-202-6260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1462 Fargo Blvd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601342979",
            "country_code": "US",
            "telephone_number": "224-242-0672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1580 S Milwaukee Ave Ste 420",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600483775",
            "country_code": "US",
            "telephone_number": "847-558-1388",
            "fax_number": "866-314-3409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "JAMES",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-28",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209036494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.